George T. Lim Jr, M.D., P.a.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

ME53050 Issued in FL

Legal business name

GEORGE T. LIM JR, M.D., P.A.

Practice address

3505 NW 84TH Ave
Sunrise, FL 33351-6607

Phone

(954) 748-3039

Fax

(954) 748-5358

NPI assigned

Sep 23, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. George T Lim Jr., M.D.NPI 1003878687

Title

President

Phone

(954) 804-0894

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Tan Lim Jr., M.D

  • Legal Medicine
  • Sunrise, FL
  • NPI 1003878687
  Medicare reassignment Authorized official
• Marie Bernadine Smith

  • Primary Care Clinic/Center
  • North Lauderdale, FL
  • NPI 1023753779
  Medicare reassignment NPD
• Jose Elmo Baccay Eco, NP-C

  • Gerontology Nurse Practitioner
  • Sunrise, FL
  • NPI 1083154694
  Medicare reassignment
• Evangeline Gennaro, ARNP

  • Nurse Practitioner
  • Tamarac, FL
  • NPI 1487077269
  Medicare reassignment
• Katryna Kathleen Lim, M.D.

  • Internal Medicine Physician
  • Sunrise, FL
  • NPI 1811351455
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1427366475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 NW 84TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516607",
            "telephone_number": "954-748-3039",
            "fax_number": "954-748-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 NW 84TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516607",
            "telephone_number": "954-748-3039",
            "fax_number": "954-748-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE T. LIM JR, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-804-0894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME53050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Eldercare Rehabilitation Services LLC (Genesis Rehabilitation Services)
• Patricia Ann Genhold, LCSW
• Leah Genovese
• Gentl Care Assistance I (QUINNECA harris)
• Gentle Dentistry of Tamarac
• Carolyn Sue George, MD
• Angela German, PHD
• Dora M Gervasi
• Steven George Gevas, MD
• Gargi Gharat

• Legal Medicine in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Legal Medicine in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.